Organization
GLENNDOC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY C GLENN DO (MEMBER)
(216) 337-9351
Entity
Organization
Contact information
Practice address
31341 NIGUEL RD STE F&G, LAGUNA NIGUEL, CA 92677-4118
(949) 444-5803
(949) 444-5804
Mailing address
31341 NIGUEL RD STE F&G, LAGUNA NIGUEL, CA 92677-4118
(949) 444-5803
(949) 444-5804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
10/19/2021
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